Haley Danielle Dawn Kirzy

Individual provider Active NPI Licensed Vocational Nurse · Greenfield, CA

NPI 1437801446 · NPPES record last updated Jan 20, 2022

Key facts

NPI
1437801446
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
717690 (CA)
Practice address
215 Huerta Ave
Greenfield, CA 93927-5762
Phone
(831) 674-2180
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
717690CAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Licensed Vocational Nurse 164X00000X 717690 CA Yes

Addresses

Primary practice location

215 Huerta Ave
Greenfield, CA 93927-5762

Mailing address

18225 Hale Ave
Morgan Hill, CA 95037-3547
Phone (408) 465-8280

Other providers in Greenfield, CA

All providers in Greenfield, CA · Licensed Vocational Nurse in California

Sources for this page

Verify at the official NPI Registry.